| NPI | 1043304736 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IA 34194) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CO 41820) |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2022-08-31 |